Graduated: 2009
NPI: 1497887723
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
931 S MARKET BLVD
CHEHALIS, WA 985323423
3607676300
PROVIDENCE HEALTH AND SERVICES WASHINGTON
525 LILLY RD NE
OLYMPIA, WA 985065101
Source: CMS National Downloadable File, September 2026.